This course will go through the process of evaluating a neonate in the multidisciplinary clinic of Michigan for brachial plexus. It will include the initial assessment with Neurology, Neurosurgery, Physical Medicine and Occupational therapy to determine which tests need to be done, i.e. EMG, MRI. Then we will show how that information is used to determine if a baby needs surgery or not and which surgery is the most helpful in getting the most use out of the arm. We will follow a real case to highlight this procedure. You must receive 70% or higher on the post-test to claim credits. You will have 3 attempts to pass the post-test.
7/15/2024- Carrie Ford, CNCT, RNSCT, REPT (Emeritus) interviews Peter Grant MD for a podcast on electrodiagnostic (EDX) fraud and abuse. Peter is a fraud and abuse expert for the FBI, Office of Inspector General, US Attorney's Office, private insurers, and state medical boards. In this podcast, Peter explains EDX fraud and how it adversely affects PM&R and Neurology, which includes hand-held devices, billing unnecessary repeat studies, billing unnecessary multiple nerves with EMG, and mobile diagnostic labs. - 23 min.
4/10/2014- Electromyographic (EMG) reporting of radiculopathies is not standardized, and the terminology used in reports can be misinterpreted by referring physicians. Physicians who refer patients for EMG studies at the Mayo Clinic were surveyed about their understanding of 6 different EMG interpretations of an S1 radiculopathy. Of 45 responders, the terms “acute, active,” “chronic, inactive,” and “old” were interpreted consistently by 95%, 98%, and 84% of responders, respectively. Physicians had the most difficulty understanding the meaning of “chronic” in isolation, “chronic, active,” or “old with uncompensated denervation.” These findings suggest a need to educate referring physicians on the meaning of the terms used in EMG reports and to develop standard guidelines for qualifying radiculopathies. Based on our observations, guidelines for the reporting of radiculopathies have been adopted in the Mayo Clinic Florida EMG laboratory. Muscle Nerve 49: 129–130, 2014
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